Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote: I think it depends which professional you talk to. I have posted before. My son was diagnosed with MERLD and I was pretty much told down the line that some professionals use MERLD and ASD interchangeably because the interventions are the same. Often you can get more services in school with the ASD diagnosis. In the end it doesn't matter. Your goal is to get as much intervention as possible tailored to your child's individual needs and both that varies more from child to child than from ASD to MERLD.
The most interesting thing I was told was brain scans of those with ASD and MERLD were similar, but I didn't do a lit search so not sure if that was anecdotal.
The DSM is ever evolving. They used to have Aspergers as a separate diagnosis too. Many years ago I believe I read homosexuality was considered a disorder as per DSM early editions. A group of professionals meet and make adjustments. It is not carved in stone.
Of course, they are similar. Lots of kids with ASD have receptive language disorder and expressive language disorder as part of their ASD. That is going to look exactly like the language deficits that kids with MERLD have.
Huh? No, MERLD and ASD are not similar. Kids can be both, but they are not inclusive. You can have expressive and receptive issues without ASD. It looks different as the children present very differently. With just MERLD, most kids outgrow the concerns as the language progresses, with ASD, they often remain. MERLD kids do not have the same struggles when they are older as ASD.
But, if it makes you feel better to lump all these kids together, go for it.
I spent a lot of time reading everything that I could on MERLD, when my son was diagnosed with MERLD. The evidence doesn't agree with you. Here's why you are wrong:
1. If kids have deficits in receptive speech and expressive speech, it is going to look very similar on an fMRI, regardless of the diagnosis. Kids with ASD also have other problems, and that may show up in other areas on an fMRI, but the shared language issues make them look similar.
2. Kids with MERLD and ASD present similarly, especially if the MERLD is severe or the ASD is high functioning. That is why the differential diagnosis can be difficult, and many professionals have a hard time doing it. That's why lots of people recommending going to the Camaratas. They have a lot of experience making that differential diagnosis.
3. Kids with MERLD have on-going deficits, even as adults. I posted the research on another thread. Go read it. In general, I agree that their prognosis is better as a group than the prognosis for kids with ASD, but they aren't going to outgrow MERLD and become NT. They aren't all going to do better than all kids with ASDs, either.